Both a brow lift and an eyelid lift, or blepharoplasty, can address “hooded” eyelids—when excess skin folds over and covers the crease. Neither kind of hooded lid surgery in NYC is a universally better solution, but one may be more effective for you depending on the root cause and your desired outcomes.
While the best way to determine the most suitable surgery is to schedule a consultation at Pearlman Aesthetic Surgery, our surgeons have outlined some key variables we consider.
What causes hooded eyelids?
Some people are born with hooded eyelids, while others develop them with age. Regardless, this results from the amount and position of skin, muscle, and fat in and around your eyes, which your genetics, lifestyle, and overall health play roles in determining.
Here’s a closer look at the two main causes of hooded lids: sagging brows and excess tissue in the eyelids themselves.
Sagging Brows
Starting in early adulthood, your skin produces about 1 to 1.5% less collagen every year, weakening your skin’s internal structure. As your muscles weaken and your skin also produces less elastin, it pushes down on your upper eyelid and obscures its natural crease.
Brow Lift
In this case, we may recommend a brow lift to restore your brow tissue to its original position. Beyond re-establishing your eyelid’s youthful contours, our endoscopic technique minimizes scarring and downtime while potentially improving your peripheral vision by opening your eyes.
Excess Eyelid Tissue
In other scenarios, excess skin, fat, or muscle in your eyelids can cause “hooding.” Beyond genetics, gaining and losing weight can also result in hooded eyelids, as the eyelids tend to hold onto fat cells. Thyroid issues and congenital illnesses may also trigger dermatochalasis—excess skin and muscle around the eyes.
Eyelid Lift (Blepharoplasty)
If your eyelids themselves are the underlying cause, we may suggest an upper eyelid lift for your hooded lid surgery in NYC. This procedure directly removes excess tissues from your eyelid and repositions the muscles to address puffiness, fine lines, and vision impairments.
Work With an Expert Eyelid Surgeon
Home to Dr. Steven Pearlman—an award-winning, dual board-certified plastic surgeon—Pearlman Aesthetic Surgery specializes in subtle results for big impacts. If you’re not quite ready for an in-person visit, use our virtual procedure match tool to unlock personalized recommendations for your eyelid enhancement in NYC.
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